The Tuberculosis Nurse: Her Function and Her Qualifications: A Handbook for Practical Workers in the Tuberculosis CampaignLa Motte, Ellen N. (Ellen Newbold)
History
The Tuberculosis Nurse: Her Function and Her Qualifications: A Handbook for Practical Workers in the Tuberculosis Campaign
La Motte, Ellen N. (Ellen Newbold)
Tuberculosis -- Nursing; Tuberculosis -- Nursing -- United States -- History
In finding cases, extensive co-operation should be invited; almost every
one whose work brings him into contact with numbers of people, knows one
or two among them who are tuberculous. Thus settlement workers, school
teachers, school attendance officers, juvenile court officers,
clergymen, Salvation Army workers, and so forth, are all people whose
aid and interest should be solicited. It makes no difference whether or
not the case is positively diagnosed—any sick person, with the symptoms
of a consumptive, is a person whose case should be looked into. It is
the nurse’s business to obtain the diagnosis.
=Dispensaries.= If there is a hospital or dispensary (not necessarily a
tuberculosis dispensary), the nurse should visit these institutions and
ask to have all positive and suspicious cases referred to her. Since the
patients who come to these places are usually those of the poorer
classes, the doctors will not be likely to object to giving their names
to the nurse. Indeed, they may be glad to accept the assistance she
offers. One visit to these institutions, however, is not enough. Every
week or two the nurse must present herself and renew her request for
patients—she must not trust to the busy physician to report them by
letter or telephone. Even when tuberculosis work is conducted on a large
scale, as in Baltimore, it is always part of the nurse’s duty to visit
these institutions regularly, to remind the doctors of their existence
and of their unquenchable desire for more patients.
=Patients’ Families and Friends.= After the nurse is well established,
and her position in the community recognized and assured, she will find
that a certain number of new cases are referred to her through the
families and friends of those already on her visiting list. This is a
high tribute, and should be valued accordingly. She should not rely
entirely upon this voluntary assistance, however, but from time to time
should question her patients, and find out whether they have any friends
who are ill, who would like to be visited. Surprising revelations often
follow. There was in Baltimore one old coloured woman who took special
pride in discovering patients, and who made an indefatigable agent in
hunting up cases in the neighbourhood. The accuracy of her diagnosis was
wonderful—her son had died of tuberculosis, so she knew all the
symptoms, and she did not refer us to a single case, which, upon
examination, failed to be tuberculous. We must remember that while in
its early stages tuberculosis is difficult to detect, when it is so
advanced that a layman can recognize it, in nine times out of ten he is
right. And as these advanced cases are the chief distributors of the
disease, the alert nurse should be keen to learn of these patients
through any source that presents itself. Of course many calls from such
sources send one on mere wild-goose chases, but it is better to go on a
dozen fruitless errands, than to overlook one real case of tuberculosis.
Public-domain text, read in full here on John Shaqi.
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